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09-09-13
COMMONWEALTH OF PENNSVLVANIA REV-1182 EXI11-96) OEPARTN.ENT OF REVENUE BUREAU OF INDIVIDUALTAXES DEPT,2&0801 HARRISBURG,PA 17128-OB01 PENNSYIVANIA RECEIVED FROM: fNHERITANCE AND ESTATE TAX dFFiCiAL ftECEiPT NO. CD 0181 19 SHAFFER QERRICK J 27 SHERWOQD CIRCLE EN4LA, PA 17025 ACN ASSESSMENT AMOUNT CONTRQI. NUMBER '"'_'_' mro '""__" _""_ 101 � � � 57,215.81 ESTATE INFORMA7ION: ssN: � � FILE NUMBER: 2113-0669 � DECEDENT NAME: SHAFFER JOAN ELAINE � DATE QP PAYMENT: 09f OSf 2Q13 � POSTMARK DATE: 09(06/217713 � cauNrv: CUMBERLAND � DATE OF pEATH: C19/27j207 1 ( � TOTAL AMC7UNT PAiD: 57,215.81 REMARKS: CHECK# 117 INlTlALS: D81 sea� ftECEIVED BY: G�ENDA FARIJER STRASBAUGH REGISTER OF WlLLS REGISTER OF WILLS